Active NPI
Jeffrey Ryan Kangas, M.D.
- Anesthesiology Physician
- Sterling Heights, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 4301101594
- Practice address
- 40028 Kraft Dr
Sterling Heights, MI 48310-1761 - Phone
- (586) 201-4368
- NPI assigned
- Jun 22, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | 4301101594 | MI | Primary |
Addresses
Primary practice location
40028 Kraft Dr
Sterling Heights, MI 48310-1761
Mailing address
40028 Kraft Drive
Sterling Heights, MI 48310
Phone (586) 201-4368
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22101 Moross Rd
Detroit, MI 48236-2148
Phone (313) 343-4000
30671 Stephenson Hwy
Suite F
Madison Heights, MI 48071-1653
Phone (313) 466-4415
4201 Saint Antoine St
Detroit, MI 48201-2153
Phone (313) 745-3615
Hospital & facility affiliations
- Henry Ford Health St John Hospital
- Harper University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301101594 | MI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St John Anesthesiologists, PC | Anesthesiology | Current | Accepting new patients |
| Northstar Anesthesia of Michigan PLLC | Anesthesiology | Current | Accepting new patients |
| Critical Care Surgeons PLLC | Current | Accepting new patients | |
| Northstar Anesthesia of Michigan III PLLC | Current | Accepting new patients |
Locations
4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
3990 John R St
Detroit, MI 48201
Phone (313) 745-6211
4100 S River Rd
East China, MI 48054
Phone (810) 329-6677
30671 Stephenson Hwy
Ste F
Madison Heights, MI 48071
Phone (313) 446-4415
3601 W 13 Mile Rd
Royal Oak, MI 48073
44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255
33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042
Interoperability endpoints
- jkangas@direct.dmc.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Trauma Surgery Physician
- Detroit, MI
- NPI 1710213731
-
- Anesthesiology Physician
- Detroit, MI
- NPI 1790720134
-
- Pain Medicine (Anesthesiology) Physician
- Irving, TX
- NPI 1972126209
MI
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1427360700
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340841600000",
"number": "1811250053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40028 KRAFT DRIVE",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "48310",
"telephone_number": "586-201-4368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40028 KRAFT DR",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483101761",
"telephone_number": "586-201-4368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANGAS",
"first_name": "JEFFREY",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-22",
"last_updated": "2012-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "4301101594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.